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Jason Thomas Chan, PA

Emergency Medicine in Porterville, CA. Individual provider (NPI-1).

NPI number1790337145
StatusActive
Last updated in NPPESJul 15, 2019

Details

NPI
1790337145
Entity type
Individual (NPI-1)
Name
Jason Thomas Chan
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2019
Last updated
Jul 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicinePA56770CAYes

Practice location

465 W Putnam Ave
Porterville, CA 93257-3320

Phone 559-784-1110

Mailing address

1750 Crestview Ln
Erie, CO 80516-4029

Phone 303-350-0956

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Other Emergency Medicine Physician providers in Porterville, CA

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